| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,010.16 | $10,010.16 | $10,010.16 | |
BCBS
| Facility | $47,000.00 | $77,999.99 | $94,999.99 | |
Cigna
| Facility | $1,301.35 | $1,301.35 | $1,301.35 | |
Providence
| Facility | $760.22 | $1,284.70 | $1,509.78 |